Bipolar Disorder

Previously called manic depression, bipolar disorder is a mental health condition that causes severe mood changes and unusual shifts in energy, activity levels, behavior, and thinking. It is classified into four groups, namely bipolar I disorder, bipolar II disorder, cyclothymic disorder, and bipolar disorder induced by any other condition or medication. The mood of the person with this disorder varies from being extremely energized to being very sad or feeling hopeless.

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Please suggest the best medicine for my psychological disorders.

Query: Hi doctor,I would like to know some treatment recommendations for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. I am having depression for a year. My hypomania is very mild and short-lived. I am afraid to get out of my home due to my constant anx...  Read Full »

Dr. Parth N. Nagda

Answer: Hi, Welcome to Regarding your anxiety symptoms, you have tried taking SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norephedrine reuptake inhibitor) class of medications. I suggest you try taking TCA (tricyclic antidepressants) class of antidepressants like Amitrip...  Read Full »

SSRI is not helping with my bipolar disorder and panic attacks. Why?

Query: Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previousl...  Read Full »

Dr. Parth N. Nagda

Answer: Hello, Welcome to If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepin...  Read Full »

Are hourly mood swings typically seen in depression?

Query: Hi doctor, I have hourly mood swings, sometimes 10 to 20 minutes. I will be fine, all of a sudden, I feel sad, and I feel like I am dying. And my movement slows down, and I am just numb, and then I have this burst of energy. I cannot even get out of bed. Is this normal for depression? I have been ...  Read Full »

Dr. Parth N. Nagda

Answer: Hello, Welcome to What are your symptoms exactly? If they are of depression, then the treatment with an SSRIs (selective serotonin reuptake inhibitors) is ideally given for six months or so. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not ...  Read Full »

Why do I get an alternate feeling of high and low sometimes?

Query: Hello doctor, I think I am bipolar. Just a couple of weeks ago, I felt and was told by my friends that I was more energetic and crazy than usual. Now, I feel like there is no hope, and nobody really cares. But there is also that little bit of me that is telling me that I am faking this and that all ...  Read Full »

Dr. Parth N. Nagda

Answer: Hello, Welcome to It is a little early at your age to be diagnosed with bipolar illness. Sometimes that part of normal teenage hormones and puberty, when it is mixed with some depressive symptoms. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do...  Read Full »

What is the treatment option for bipolar 2 disorder with more depressive episodes?

Query: Hello doctor, I have bipolar disorder II and diagnosed with social and generalized anxiety disorders. Currently, my medication fails to uplift my depression. I take lithium 3x450 mg, Olanzapine 5 mg, Escitalopram 20 mg. Previously I tried Valproic acid, Carbamazepine, Topiramate, Zoloft, Prozac, C...  Read Full »

Dr. Parth N. Nagda

Answer: Hello, Welcome to Yes, bipolar depression is difficult to treat and it can be persistent. Many people do respond to a combination of Lamotrigine and Quetiapine (popularly called as Lami-quel). It takes time to act, but it is highly effective. Currently, I would suggest that instead ...  Read Full »

Please suggest recommendations to quit bipolar medications.

Query: Hello doctor, I am a patient of bipolar disorder. I am not experiencing bipolar disorder symptoms for more than two years. So, can I leave medication gradually? I have completed my education during my treatment. I was diagnosed with this disorder a few years back. I am constantly being treated for ...  Read Full »

Dr. Parth N. Nagda

Answer: Hello, Welcome to Normally, after the first episode of bipolar illness, medicines are advised to be taken for one year and stopped slowly. After a second relapse it is advised for two or three years and then stopped. For the third relapse, it is to be continued lifelong. If you have t...  Read Full »

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